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Ladi-Akinyemi, et al.: Knowledge and implementation of NMCP
Ethical considerations years of work (0.015) among the health workers in

The study was approved by the Health Research and the three LGAs.
Ethic Committee of the Olabisi Onabanjo University
Higher percentage of the healthcare workers in all the three
Teaching Hospital Sagamu, Ogun State Primary Health
LGAs knew the organism responsible for malaria infection as
Care Board, Ogun State Ministry of Health Abeokuta.
well as the vector that transmit the organism. However, less
Respondents’ informed consent was obtained verbally and
than 50% of them could identify correctly a case of simple
by signature, before the commencement of the study. Strict
malaria and complicated malaria. There were no statistical
confidentiality of all information and results of findings
significant differences between the LGAs [Table 2].
were maintained throughout the course of the study.
The health‑care workers in all the LGAs had good
RESULTS knowledge and perception of the NMCP. However, about
50% of the health‑care workers identified the program has
There were 330 health workers in the three LGAs as at the been a case management program only but the program is
time of the study, a total of 325 health workers participated both preventive and case management. Furthermore, there
in the study. The remaining five health‑care workers were were no statistically significance differences between the
on leave (two maternity and three annual). The response health‑care workers in the LGAs regarding their knowledge
rate was 98.5%. One hundred and twenty‑five (38.5%) of and perception of the program [Table 3].
the respondents were from Ado‑odo/Ota LGA, 120 (36.9%)
of the respondents were from Ijebu‑ode LGA and Table 4 depicts the implementation of the NMCP by the
80 (24.6%) were from Ewekoro LGA. respondents. There were statistically significant difference
in the distribution of LLINs to all patients treated for
The sociodemographic characteristics and the malaria (P = 0.006) and the use of clinical suspicion in the
occupation history of the respondents are shown diagnosis of malaria (P = 0.032) among the health‑care
in Table 1. There were statistically significant workers in the three LGAs. Over ninety percent of the
differences in highest level of education (P = 0.016), respondents gave intermittent preventive treatment to
job designation (0.019), and the difference in mean pregnant women, distribute LLINs, use Rapid Diagnostic

Table 1: Sociodemographic characteristics and occupation history of the respondents (n=325)
Variables Frequency, n (%) Total, n (%) Test statistic χ 2 P
Ado‑odo/ota Ewekoro Ijebu‑ode
Grouped age (years)
<24 4 (3.2) 0 (0.0) 2 (1.7) 6 (1.8) 14.461** 0.071
25‑34 28 (22.4) 19 (23.8) 21 (17.5) 68 (20.9)
35‑44 39 (31.2) 19 (23.8) 54 (45.0) 112 (34.5)
45‑54 48 (38.4) 36 (45.0) 39 (32.5) 123 (37.8)
>55 6 (4.8) 6 (7.4) 4 (3.3) 16 (4.9)
Mean (years) 41.0±9.0 42.0±9.0 41.5±8.4 41.7±8.5 F=1.405 0.232
Highest level of education
Diploma/certificate 95 (76.0) 49 (61.3) 86 (71.6) 230 (70.8) 15.613** 0.016
Bachelor degree 26 (20.8) 23 (28.2) 29 (24.2) 78 (24.0)
Postgraduate 4 (3.2) 8 (10.0) 5 (4.2) 17 (5.2)
Job designation
Doctors 1 (0.8) 3 (3.8) 3 (2.5) 7 (2.2) 15.510** 0.019
Nurses 42 (33.6) 30 (37.5) 24 (20.8) 96 (29.5)
CHO/CHEWs 62 (49.6) 40 (50.0) 81 (67.5) 183 (56.3)
Others 20 (16.0) 7 (8.8) 12 (10.0) 39 (12.0)
Years of work
<1 13 (10.4) 6 (7.5) 4 (3.3) 23 (6.6) 12.700 0.123
1‑10 43 (34.4) 29 (36.2) 51 (42.5) 123 (37.8)
11‑20 30 (24.0) 21 (26.3) 38 (31.7) 89 (27.7)
21‑30 32 (25.6) 17 (21.2) 16 (13.3) 65 (20.0)
>30 7 (5.6) 7 (8.8) 11 (9.2) 25 (7.9)
Mean (years) 16.4±21.7 15.1±11.1 13.6±9.3 14.0±9.5 F=3.144 0.015
Training on NMCP
Yes 78 (62.4) 60 (75.0) 81 (67.5) 219 (67.4) 3.525 0.172
No 47 (37.6) 20 (25.0) 39 (32.5) 106 (32.6)
**Likelihood ratio. Others: Pharmacists, Medical laboratory scientists, Pharmacy technicians, Medical laboratory technician and health educators. CHO/CHEWs=Community
Health Officers/Community Health Extension Workers

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